Active NPI
Justin Brandmeier I, LMT
- Massage Therapist
- Roseburg, OR
National Provider Identifier
1710355417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13425
- Practice address
- 849 SE Mosher Ave
Roseburg, OR 97470-3961 - Phone
- (541) 505-6912
- NPI assigned
- Sep 11, 2015
- Last updated
- Sep 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13425 | OR | Primary |
Addresses
Primary practice location
849 SE Mosher Ave
Roseburg, OR 97470-3961
Mailing address
2259 NW Troost St
Roseburg, OR 97471-1710
Phone (541) 505-6912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13425 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Therapeutics Inc | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1710355417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2259 NW TROOST ST",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974711710",
"telephone_number": "541-505-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 SE MOSHER AVE",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974703961",
"telephone_number": "541-505-6912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDMEIER",
"first_name": "JUSTIN",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-11",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "13425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.